NCT05413070

Brief Summary

As

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
125

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Jun 2022

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 7, 2022

Completed
2 days until next milestone

First Posted

Study publicly available on registry

June 9, 2022

Completed
6 days until next milestone

Study Start

First participant enrolled

June 15, 2022

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 14, 2023

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2023

Completed
Last Updated

August 8, 2023

Status Verified

August 1, 2023

Enrollment Period

12 months

First QC Date

June 7, 2022

Last Update Submit

August 6, 2023

Conditions

Outcome Measures

Primary Outcomes (4)

  • Knowledge, perceptions, decision-making related to back pain imaging

    Survey responses

    June-August 2022

  • Rate of low-value back pain imaging

    Derived from APC data, via Milliman Health Waste Calculator

    June-August 2022

  • Rate of low-value back pain imaging

    Derived from EMR measures (live)

    August 2022-December 2023

  • Clinical documentation comparison

    Comparison of EMR chart review reason for ordering imaging vs. EMR-derived measure

    August 2022-December 2023

Study Arms (2)

Lowest Performing Practices

This is the group of 5 to 10 primary care practices that incurred the highest amount of low-value back pain imaging based on claims data reports. This group will receive the survey and the intervention (brief training sessions in existing quality improvement meetings, performance reports, etc.).

Behavioral: Multimodal approach to QI for Low-Value Care

Highest Performing Practices

This is the group of 5 primary care practices that incurred the lowest amount of low-value back pain imaging based on claims data reports. This group will only receive the survey.

Interventions

Up to 4 brief educational components in existing quality meetings Informational email/newsletter Individualized performance feedback reports Educational resources for patients

Lowest Performing Practices

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Primary care clinicians (physicians, PAs, NPs)

You may qualify if:

  • Current primary care clinician in a top or bottom performing practice

You may not qualify if:

  • \<90 days of tenure in current position

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Carilion Clinic Dept of Family and Community Medicine

Roanoke, Virginia, 24016, United States

Location

Related Links

MeSH Terms

Conditions

Low Back PainBack Pain

Interventions

Low-Value Care

Condition Hierarchy (Ancestors)

PainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Costs and Cost AnalysisEconomicsHealth Care Economics and Organizations

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Senior Research Associate

Study Record Dates

First Submitted

June 7, 2022

First Posted

June 9, 2022

Study Start

June 15, 2022

Primary Completion

June 14, 2023

Study Completion

December 31, 2023

Last Updated

August 8, 2023

Record last verified: 2023-08

Data Sharing

IPD Sharing
Will not share

No individual data will be shared.

Locations